Organization Name: | THE PHYSICIAN NETWORK |
NPI Number: | 1134153158 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REX K RECKEWEY (CEO) |
Mailing Address: | 969 E Highway 33 Crete |
State: | NE US |
Postal Code: | 683332547 |
Phone Number: | 4028263222 |
Fax Number: | 4028263228 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 03/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |